Derrick Trevon Dingle Jr.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADC-IP3160 Issued in SC

Practice address

1031 Broad St
Sumter, SC 29150-2504

Phone

(803) 848-0035

Fax

(803) 720-5095

NPI assigned

Jul 16, 2021

Last updated

Oct 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kershaw County Commission on Alcohol and Drug Abuse

  dba ALPHA Behavioral Health Center

  • Community/Behavioral Health Agency
  • Camden, SC
  • NPI 1669424818

  Addiction (Substance Use Disorder)

  NPD
• Kershaw County Commission on Alcohol and Drug Abuse

  • Addiction Medicine (Family Medicine) Physician
  • Camden, SC
  • NPI 1316889298
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1952973059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502504",
            "telephone_number": "803-848-0035",
            "fax_number": "803-720-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGLE",
        "first_name": "DERRICK",
        "middle_name": "TREVON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "ADC-IP3160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddingle@alphacentersc.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "208 King St",
            "city": "Camden",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290204720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Johnathan Bradley Dickson, MSP SLP-CFY
• Ashley Dill, LMT
• Anna M Dilts, PT
• George Scot Dilts, M.D.
• Shao-Zheng Ding, MD
• Shakayla Dingle
• Rhonda Dinovo, LISW-CP
• Rocco Disanto
• Elizabeth Marie Disher, APRN
• Briana Dishongh, M. ED., NCC, CACP

• Addiction (Substance Use Disorder) Counselor in Sumter, SC
• Providers in Sumter, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.